NPPES file of Aug 9, 2026

Matthew J. Provenzano, M.D.

Pediatric Otolaryngology Physician · Michigan City, IN

Matthew J. Provenzano, M.D. is a pediatric otolaryngology physician with a practice address in Michigan City, Indiana, and NPI 1639388911, issued on May 22, 2007. Check the license (Indiana 01072216A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1639388911
Name
Matthew J. Provenzano
Credential
M.D.
Primary taxonomy
Pediatric Otolaryngology Physician 207YP0228X
License numbers
01072216A IN
36490 IA
57.019215 OH
Self-reported in NPPES; status is on the state search
Practice location
1225 E Coolspring Ave Ste 300, Michigan City, IN 46360
Phone
(219) 878-5032
Enumerated
May 22, 2007
Record last updated
Aug 24, 2023
Fax
(219) 861-8151
Medicare enrollment
Enrolled (PECOS I20131002000632); accepts Medicare assignment
Medical or professional school
Johns Hopkins University School Of Medicine, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1225 E Coolspring Ave Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sarah BurkeRheumatology Physician1568849396
  2. Emily Damitz, PASurgical Physician Assistant1366678088
  3. Jennifer Dauterman, M.A.Audiologist1750440434
  4. Jackie Fletcher, AUDAudiologist1326786559
  5. Erin PluardAudiologist1306584511
  6. Suzanne Smith, MSN, RN, CNS, FNPFamily Nurse Practitioner1073824314

Verify Matthew J. Provenzano in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Licensing Board of Indiana
    Search for license 01072216A    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Indiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.7 times the Medicare Part D claims of the average pediatric otolaryngology physician in 2024

350 Medicare Part D claims for 182 beneficiaries, against an average of 129 among the 135 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.

  1. Matthew Provenzano350
  2. Specialty average129

Most prescribed

  1. Azelastine Hcl38 claims
  2. Pantoprazole Sodium28 claims
  3. Montelukast Sodium26 claims
  4. Ofloxacin26 claims
  5. Dexamethasone Sodium Phosphate24 claims
  6. Betamethasone Valerate21 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Franciscan Physician NetworkMichigan City, IN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Pediatric Otolaryngology Physician providers in Indiana

There are 10 pediatric otolaryngology physician records in Indiana.

All 10 in Indiana → Every provider in Michigan City →

Other pediatric otolaryngology physician records in Indiana

  1. Wenhua Chen, MDIndianapolis, IN1952795890
  2. Ravindhra Elluru, MD, PHDIndianapolis, IN1356361968
  3. Ronda Hamaker, MDIndianapolis, IN1174572184
  4. Stacey Ishman, M.D.Indianapolis, IN1245287101
  5. Bruce Matt, MDIndianapolis, IN1013941558
  6. Richard Miyamoto, MDIndianapolis, IN1548294085
  7. Matthew Partain, MDIndianapolis, IN1174917280
  8. Lauren Sowa, MDIndianapolis, IN1811376593
  9. Dean Trigg, MDIndianapolis, IN1427015833

Common questions

What is Matthew J. Provenzano, M.D.'s NPI number?

Matthew J. Provenzano, M.D.'s National Provider Identifier (NPI) is 1639388911, issued on May 22, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Matthew J. Provenzano, M.D. located?

The NPPES record lists a practice address at 1225 E Coolspring Ave Ste 300, Michigan City, IN, 46360. Phone: (219) 878-5032. Providers update this record themselves, so call before visiting.

How can I verify Matthew J. Provenzano, M.D.'s license?

NPPES lists Indiana license number 01072216A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Matthew J. Provenzano, M.D. prescribe under Medicare Part D?

In 2024, Matthew J. Provenzano, M.D. had 350 Medicare Part D claims for 182 beneficiaries; the average among pediatric otolaryngology physician prescribers was 129. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.